Create a welcoming experience by authentically engaging every caller, every time.
Thoroughly and accurately answer questions about customers’ healthcare accounts.
Thoughtfully listen to callers’ needs and provide appropriate solutions.
Point C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. They research the most effective cost containment strategies and are driving down the cost of plans with innovative solutions.
Contact and communicate with providers to obtain required medical record documentation.
Respond to telephone inquiries promptly, professionally, and efficiently to provide resolution.
Analyze provider questions to determine the best use of resources to resolve the situation.
Empower AI provides federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation. They leverage three decades of experience solving complex challenges in Health, Defense, and Civilian missions and are headquartered in Reston, VA.
Address the needs of patients with a focus on customer support, coordination of logistics, and problem solving.
Schedule and coordinate the flow of work within or between departments to expedite project efficiencies and resolution to escalations.
Address and resolve assigned inquiries with a sense of urgency; Ensure timely closure of escalation cases using email, phone, or salesforce.com
Natera is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other.
CommonSpirit Health has 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services, making them accessible to nearly one out of every four U.S. residents. They are committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Making outbound calls to patients, members, and customers.
Helping patients make decisions that will enhance their healthcare experience.
Assisting members and patients with benefits and insurance information.
Carenet Health pioneers advancements for experiences across the healthcare consumer journey, interacting with 1 in 3 Americans daily. They integrate human touch with data-driven technology to improve healthcare, offering best-in-class clinical expertise and personalized solutions.
Provide customer service in a phone-based environment, processing prescription information accurately.
Perform claim adjudication and auditing duties, like prior authorizations and eligibility checks.
Maintain patient records with attention to detail and confidentiality, ensuring regulatory compliance.
AnewHealth is a pharmacy care management company specializing in caring for people with complex, chronic needs. With over 1,400 team members, they care for more than 100,000 people across all 50 states, enabling better outcomes for patients and healthcare organizations.
Act as the primary point of contact for new patients calling and emailing in.
Efficiently register and onboard a high volume of new patients.
Precisely verify patient insurance information to confirm active coverage and eligibility.
Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team that values its employees.
Receive and respond to telephone, email, web and other customer, country and patient inquiries.
Enter new customer information in Salesforce.
Appropriately field calls for payment collection or reimbursement and billing and process them.
Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant is transforming patient care and accelerating new cancer therapies by providing critical insights into what drives disease through its advanced blood and tissue tests, real-world data and AI analytics.
Collecting and verifying current demographic information
Contacting insurance companies when needed
Pediatrix Medical Group is a leading provider of specialized healthcare for women, babies, and children. Since 1979, they've grown into a national, multispecialty medical group committed to coordinated, compassionate, and clinically excellent services across the continuum of care.
Prepares and submits clean claims to various insurance companies.
Identifies and resolves patient billing complaints.
Performs various collection actions including contacting patients by phone.
SelectQuote provides solutions that help consumers protect their most valuable assets: their families, health and property. SelectRX, a subsidiary of SelectQuote, is prioritizing important population health initiatives focused on actively managed, high-touch patient experience.
Conduct outbound and inbound calls to potential patients to explain services and assist with enrollment or scheduling.
Complete short intake forms to accurately collect demographic, eligibility, and clinical information.
Schedule patient appointments based on availability, location, and provider match.
Zócalo Health is a tech-driven healthcare provider built for Latinos, by Latinos, developing a new approach to care designed around shared experiences. Founded in 2021, they are backed by leading healthcare and social impact investors and are committed to expanding their reach to serve more members and communities.
Accountable for making decisions supported by policy based on confidential financial information both from the facility and from patients to determine qualification for CICP, Charity programs, or payment arrangements.
Verify coverage and authorization for all scheduled procedures through scheduling and registration information.
Act as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies.
CommonSpirit is accessible to nearly one out of every four U.S. residents. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Resolves delinquent payment issues of complex accounts.
Investigates patient account information, medical records and bills, billing and reimbursement regulations.
Analyzes each account to optimize reimbursement and remove barriers to processing claims.
Legacy Health is dedicated to good health for its people, patients, communities, and the world, emphasizing doing the right thing. They foster an inclusive environment where everyone can grow and succeed, committed to equal opportunity.
Answer inbound calls, process orders, and email customer confirmations.
Research and resolve billing and pricing inquiries and resolve any order issues.
Collaborate with internal departments on behalf of the customer and explain basic products and services.
Cardio Partners, a division of Sarnova, is a national leader in emergency prevention and an ardent advocate in the fight against Sudden Cardiac Arrest (SCA). They offer complete cardiac solutions, including equipment, consultation, training, and program management.
Responsible for submitting medical billing claims and appealing denied claims.
Obtain referrals and verify healthcare service eligibility.
Follow up on missed payments and resolve financial discrepancies.
CRMS by DocGo leads the proactive healthcare revolution with an innovative care delivery platform. They disrupt the traditional healthcare system by providing high quality, affordable care with a team of over 5,000 certified health professionals.
Support clinical staff by gathering data to complete the medical necessity review process.
Create and send letters to providers and/or members to communicate information.
Collaborate with care management teams and stakeholders to provide optimal service.
Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota, and they’ve built their reputation on over 80 years’ worth of trust. They are motivated by the well-being of their members, putting them first and committing to sustainability and innovation.
Ensures payments for pharmacy partners are retrieved and posted accurately and timely.
Resolves missing remittance files and any unmatched/unreconciled remittance detail.
Contributes to the month-end reporting process by retrieving necessary reporting related to payment activity.
Shields Health Solutions partners with hospitals to build and manage specialty pharmacies. They focus on improving medication access, adherence, and outcomes for patients with chronic illnesses. The company is fast-growing in the Healthcare Services sector and values teamwork and high-quality work.
Researches overdue account balances and follows up on delinquent payments.
Reviews unpaid and underpaid claims, resubmitting or appealing as necessary.
Responds to customer inquiries, resolves discrepancies, and prepares adjustments.
Accendra Health helps deliver care beyond traditional settings, making essential products and services more accessible through every stage of life. They have a presence in communities nationwide through their Apria and Byram Healthcare brands.
Provide accurate information on health plan benefits, eligibility, and claims.
Handle inbound/outbound calls and respond to email inquiries.
Deliver an exceptional customer service experience to members and providers.
Evry Health's mission is to bring humanity to health insurance. Their high-technology health plans expand benefits, increase access and transparency, and feature a personalized, human approach. Evry Health is the major medical division of Globe Life (NYSE:GL).